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血气/酸碱度水平异常的麻醉大鼠对硝苯地平的心血管反应。

Cardiovascular responses to nifedipine in anaesthetized rats with abnormal blood gas/pH levels.

作者信息

Achike F I, Dai S

机构信息

Department of Pharmacology, Faculty of Medicine, University of Hong Kong, Sassoon Road, Hong Kong.

出版信息

Clin Exp Pharmacol Physiol. 1991 Apr;18(4):223-30. doi: 10.1111/j.1440-1681.1991.tb01435.x.

Abstract
  1. Blood pressure and pulse rate responses to intravenously (i.v.) administered nifedipine were studied in chloralose-anaesthetized rats subjected to hypoxaemia, hyperoxaemia, alkalosis, acidosis, hypocarbia with alkalosis, or hypercarbia with acidosis. 2. Ventilation with a gas mixture of 17% O2, 28% O2, or 23% O2 with 5% CO2 at a fixed stroke volume (10 mL/kg) and rate (80 strokes/min) induced hypoxaemia, hyperoxaemia or hypercarbia, respectively. Hypocarbia was induced by ventilation with 17% O2 at 160 strokes/min. Acidosis or alkalosis was produced by intravenous infusion of 1 mol/L HCl or 1 mol/L NaHCO3, respectively, in animals ventilated with room air. 3. There were significant decreases in blood pressure and pulse rate during acidosis, and increases in pulse rate during alkalosis and hypercarbia. No marked changes in these parameters were observed under the other experimental conditions. 4. The control animals showed a dose-dependent decrease in blood pressure without marked changes in pulse rate in response to nifedipine injection. 5. Significant reductions in the hypotensive effect of nifedipine were observed in rats subjected to alkalosis, acidosis, or hypercarbia. A similar tendency was also found during hypocarbia while the responses to nifedipine during hypoxaemia and hyperoxaemia were statistically the same as those in the controls. 6. It is concluded that alterations of blood pH reduce the hypotensive effect of nifedipine, and we suggest that blood pH changes probably play a more important role than PO2 or PCO2 abnormalities in altering the cardiovascular responses to nifedipine in hypoventilated or hyperventilated rats.
摘要
  1. 在接受低氧血症、高氧血症、碱中毒、酸中毒、伴有碱中毒的低碳酸血症或伴有酸中毒的高碳酸血症的氯醛糖麻醉大鼠中,研究了静脉注射硝苯地平后血压和脉搏率的反应。2. 分别以固定的冲程容积(10 mL/kg)和频率(80次/分钟)用含17% O₂、28% O₂或含5% CO₂的23% O₂的混合气体通气,可诱导低氧血症、高氧血症或高碳酸血症。通过以160次/分钟的频率用17% O₂通气诱导低碳酸血症。在以室内空气通气的动物中,分别通过静脉输注1 mol/L HCl或1 mol/L NaHCO₃产生酸中毒或碱中毒。3. 酸中毒期间血压和脉搏率显著降低,碱中毒和高碳酸血症期间脉搏率升高。在其他实验条件下未观察到这些参数有明显变化。4. 对照动物在注射硝苯地平后血压呈剂量依赖性下降,脉搏率无明显变化。5. 在发生碱中毒、酸中毒或高碳酸血症的大鼠中,观察到硝苯地平的降压作用显著降低。在低碳酸血症期间也发现了类似的趋势,而低氧血症和高氧血症期间对硝苯地平的反应在统计学上与对照组相同。6. 得出的结论是,血液pH值的改变会降低硝苯地平的降压作用,并且我们认为,在通气不足或通气过度的大鼠中,血液pH值变化可能比PO₂或PCO₂异常在改变对硝苯地平的心血管反应方面发挥更重要的作用。

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